CARROLL TOTAL HEALTHCARE,PC
NPI 1619517968
Clinic/Center - Medical Specialty in Cumming, GA
About Carroll Total Healthcare,pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARROLL TOTAL HEALTHCARE,PC (NPI 1619517968) is a healthcare organization registered as a medical specialty in Cumming, Georgia and active in the NPI registry since January 2020. The organization holds a CLIA Waiver certificate valid through July 6, 2028 and lists Brent Timothy Carroll, Owner/physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carroll Total Healthcare,pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Carroll Total Healthcare,pc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 11D2187770
Carroll Total Healthcare · Cumming, GAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Carroll Total Healthcare,pc's NPI number?
The NPI number for Carroll Total Healthcare,pc is 1619517968. It was assigned to this organization in the NPPES registry on January 14, 2020.
Where is Carroll Total Healthcare,pc located?
Carroll Total Healthcare,pc is located at 410 Peachtree Pkwy Ste 4226, Cumming, GA 30041. The listed phone number is (678) 341-9881.
What is Carroll Total Healthcare,pc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.
Is Carroll Total Healthcare,pc enrolled in Medicare?
Yes. Carroll Total Healthcare,pc is registered in the Medicare PECOS enrollment system.
When is Carroll Total Healthcare,pc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Georgia, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Carroll Total Healthcare,pc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Carroll Total Healthcare,pc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Carroll Total Healthcare,pc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2187770) is associated with this NPI, valid through July 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Carroll Total Healthcare,pc accept?
Health plans from Alliant Health Plans, Inc. list Carroll Total Healthcare,pc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Carroll Total Healthcare,pc was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Carroll Total Healthcare,pc · NPI 1619517968
Medical Specialty organization in Cumming, Georgia. Organization record, active in the CMS NPPES registry since January 14, 2020.
## Identity
- **NPI:** 1619517968 (Entity type: Organization)
- **Enumerated:** January 14, 2020
- **Primary specialty:** Clinic/Center - Medical Specialty · taxonomy 261QM2500X
- **Organization subpart:** No
- **Authorized official:** Brent Carroll, OWNER/PHYSICIAN
## Practice location
- **Address:** 410 PEACHTREE PKWY STE 4226, Cumming, GA 30041-7439
- **Phone:** (678) 341-9881 · **Fax:** (678) 341-9883
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Georgia, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 27, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1619517968) · Data from the CMS NPPES public registry.